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Permit CITY OF TIGARD DEVELOPMENT SERVICES _'J+. A 1 3125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 ELT CT R I CAL PERMIT — RESTRICTED ENERGY PERMIT #: ELR98 -0271 DATE ISSUED: 09/23/98 PARCEL: 25101DD- 00600 SITE ADDRESS...: 06700 SW 7ANDBURG ST SUBDIVISION -SALEM FREEWAY SUBDIVISION ZONING:C —P BLOCK LOT.. -003 JURISDICTN: TIG Project Description: Western Fasily Foods A. RESIDENTIAL --_. -- B. COMMERCIAL ---- --- • -- - --- -- -- AUDIO & STEREO...: AUDIO & STEREO..: INTERCOM & PAGING..: BURGLAR ALARM....: BOILER..... .....: f_ANDSCAPE /IRRIGAT.. : GARAGE OPENER ^ CLOCK • MEDICAL HVAC .............. DATA /TELE COMM..: NURSE CALLS ..... ...^ VACUUM SYSTEM • FIRE ALARM • OUTDOOR LANDSC LITE: OTHER: ^„ HVAC..,.,. • PROTECTIVE SIGNAL..:X INSTRUMENTATION.: OTHER..: .. TOTAL # OF SYSTEMS: 1 Owner: ---------- - - - - -- - -- FEES -- - -- -- — - - - - -- WESTERN FAMILY FOODS, INC type amount by date recpt 6700 SW SANDBURG PRMT $ 40.00 JSD 09/23/98 98-- 309413 TIGARD OR 97223 5PCT $ 2.00 JSD 09/23/98 98- 309413 Phone #: 639 -6300 Contractor: ------ •- •------- - - - - -- - - -- - -- - - •--- - - - - -- PDT SECURITY ALARMS $ 42.00 TOTAL 703 NE HANCOCK REQUIRED INSPECTIONS -•- PORTLAND OR 97212 • Ceiling Cover Low Voltage Insp Phone #: 284 -3265 Wall Cover Elect'1 Final Reg #..: 1Z100599 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. All work will,be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for sore than 180 days. ATTENTION: Oregon law requires you to follow ru adopt by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 -va1 -0010 through DAR 952 -e1 -0080. You say Wain c, ies of these rules or direct questions to 17- ,. (593)246 -1987. Issued by a1, Permittee Signature - • .--- --------------- -OWNER INSTALLATION ONLY --------------- The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: --------- CONTRACTOR INSTALLATION ONLY - ----- SIGNATURE OF SUPR. ELEC' N : DATE: LICENSE NO: _____ _„ +++++++++++++++++++++++++++++++++++++ + + ++ + ++ + + ++ ++ + ++ + + +-h++ + + + + + +-f +++ +-I--I--h-4-++++ +-+ Call 639 -4175 by 7:00 P.M. for an inspection needed the next business day ++++++++++-++ + +- + + + + + + +^ + + + + + +•F + + + + +•:-+ + ++ F++++++-++++++ ++ + +++ + + + + + + + + + + + ++ + + ++• + + + ++-+ CITY OF TIGARD te RESTRICTED ENERGY ELECTRICAL APPLICATION Recd by: ___ s 1-3 SW HALL BLVD 6 ?3 - ios a o -el ate Rec' . TIGARD OR 97223 ////6791 PRINT OR TYPE J �j V - 503 - 639 -4171 X304 Permit #: (-U \ 007 F - 503 -684 -7297 INCOMPLETE OR ILLEGIBLE APPLICATIONS Cust.Call'd: WILL NOT BE ACCEPTED Name of Development Project TYPE OF WORK INVOLVED - RESIDENTIAL ONLY Lds24T 1 �G (FOR A LL S YSTE Fee $40.00 i (FOR ALL SYSTEMS) JOB Street Address ! Ste # ADDRESS 6700 60 Check Type of Work Involved: - -.' . City /State O n Zip / Phon Audio and Stereo Systems qf , / , � l� 9 7 - ` (Q -6300 -y - ❑ Burglar Alarm OWNER Mailing Addres ❑ Garage Door Opener' City /Sta Zip Phone # ❑ Heating, Ventilation and Air Conditioning System* Name ❑ Vacuum Systems' ADT SECURITY SERVICES. INC, ❑ 703 NE HANCOCK Other CONTRACTOR Mailing AddraiRILANU, uR 97212 (503) 284-3265 TYPE OF WORK INVOLVED - COMMERCIAL ONLY (Prior to issuance a City /State Zip Phone # Fee for each system $40.00 copy of all licenses (SEE OAR 918 - 260 -260) are required if Oregon Contr. Brd Lic. Exp. Date expired in C.O.T. 5f9 Check Type of Work Involved: data base). Electrical Contr. Lic. Exp. Date ❑ Audio and Stereo Systems C.O.T. or Metro Lic. # Exp. Date ❑ Boiler Controls Owner's Name ❑ Clock Systems OWNER - Mailing Address APPLICANT ❑ Data Telecommunication Installation City /State Zip Phone # ❑ Fire Alarm Installation This permit is issued under OAE 918 - 320 -370. This applicant agrees to make only restricted energy installations (100 volt amps or less) under this ❑ HVAC permit and to do the following: ❑ Instrumentation 1. Only use electrical licensed persons to do installations where required. Certain residential and other transactions are exempt from licensing. ❑ Intercom and Paging Systems These have asterisks( *). All others need licensing; ❑ Landscape Irrigation Control' 2. Call for inspections when installation under this permit are ready for inspection at 503 - 639 -4175; ❑ Medical 3. Purchase separate permits for all installations that are not ready for an ❑ Nurse Calls inspection when the inspector is out to inspect under this permit; 4. Assume responsibility for assuring that all corrections required by the ❑ Outdoor Landscape Lighting* inspector are done, and; Protective Signaling 5. Assume responsibility for calling for a final inspection when all of the corrections are completed. ❑ Other Permits are non - transferable and • • - r-fundable and expire if work is not started within 180 days • . s : nce o if work is suspended for 180 days. Number of Systems The person signing or t. pe • . must be the applicant or a person • No licenses are required. Licenses are required for all other installations authorized to bind "h . -p! i • t FEES: • iti 79 3 S/.._ e ,c� S gna re ENTER FEES $ �v i 5% SURCHARGE (.05 X TOTAL ABOVE) $ 6 Authority if other than Applicant TOTAL $ L? iAdstsvesele.doc 7/97 (iffe9 J 0 Ft /7 — 4/24/00 Activities for Case #: ELR98 -00271 2:44:19 PM Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes ELRC001 APPlication Received 9/23/98 JSD USPS JSD 9/23/98 ELRC003 Permit Created 9/23/98 JSD PASS JSD 9/23/98 ELRC700 Ceiling Cover JSD 9/23/98 ELRC720 Wall Cover JSD 9/23/98 ELRC725 Low Voltage Inspection 2/17/99 BRP PASS B'P 2/19/99 ELRC799 Elect I Final 2/17/99 BRP PASS B *P 2/19/99 ELRC500 (F) Issue permit 9/23/98 JSD PASS JSD 9/23/98 ELRC800 Case finaled 2/23/99 JT 2/23/99 • • • Page 1 of 1 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 �� BUP X11 _ // Date Reque ed g 11 AM PM BLD Location (.o D !) r ,_ I - _ �, . Suite MEC Contact Person i?/�`c � Ph 6.39 —6306 PLM Contractor nn Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR 0 °Z 71 Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing �. • / s _ / — r Firewall Fire Sprinkler 1) m P to /` c? l CO de_ reol re 199 P 4 , Fire Alarm Susp'd Ceiling Roof Misc: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post & Beam Rough Gas s Line e Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough In UG /Slab Low Voltage Fire Alarm PART FAIL Backfill /Grading Sanitary Sewer Storm Drain [ I Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach/Sidewalk .. / Date ate Inspector nspe Ext Final PASS PART . FAIL DO NOT REMOVE this inspection record from the job site.